Luis Sanmiguel, M.D.
NPI 1164403077 · Nephrology Physician · Carolina, PR
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luis Sanmiguel, M.D. is a Nephrology Physician provider in Carolina, PR (NPI 1164403077).
Provider details
- NPI number
- 1164403077
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11721 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
79 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 48 | $115 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 20 | $126 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 11 | $168 |
Typical Medicare-allowed amounts for these services range $115–$168 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 65 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 122 | 37 |
| Atorvastatin Calcium | 114 | 26 |
| Gabapentin | 100 | 27 |
| Doxazosin Mesylate | 94 | 21 |
| Amlodipine Besylate | 93 | 31 |
| Metoprolol Succinate | 91 | 24 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$47 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2013-07-23
Frequently asked questions
- What is Luis Sanmiguel's NPI number?
- Luis Sanmiguel's National Provider Identifier (NPI) is 1164403077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luis Sanmiguel's specialty?
- Luis Sanmiguel is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Luis Sanmiguel located?
- Luis Sanmiguel's practice location on file with NPPES is Carr.#3 Km8.4 Paseo Del Prado Sc, Carolina, PR 00987.
- What is Luis Sanmiguel's phone number?
- The practice phone number listed in the NPPES registry for Luis Sanmiguel is (787) 710-2532.
- Does Luis Sanmiguel accept Medicare?
- Luis Sanmiguel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luis Sanmiguel's NPI active?
- Yes — Luis Sanmiguel's NPI (1164403077) is active in the NPPES registry as of the last update on 2013-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.